ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 5
A client with tuberculosis is starting combination drug therapy. Which of the following medications should the nurse NOT plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Acyclovir. Acyclovir is an antiviral medication used to treat herpes infections, not tuberculosis. Rifampin, Isoniazid, and Pyrazinamide are all first-line drugs for tuberculosis treatment. Rifampin is a bactericidal agent, Isoniazid disrupts mycobacterial cell wall synthesis, and Pyrazinamide targets actively replicating bacteria. Therefore, the nurse should not plan to administer Acyclovir as it is not indicated for tuberculosis treatment.
Question 2 of 5
A client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Preoxygenating the client with 100% oxygen for up to 3 minutes helps prevent hypoxia during suctioning. 2. COPD patients are at higher risk for hypoxia due to impaired gas exchange. 3. Preoxygenation helps maintain oxygen saturation levels and reduces the risk of complications. 4. This action supports safe and effective nasotracheal suctioning in clients with COPD and an artificial airway. Summary: - Option A: Performing suctioning for up to four passes can increase the risk of hypoxia and mucosal damage. - Option B: Applying suction to the catheter during advancement can cause trauma and increase the risk of infection. - Option D: Limiting each suction pass to 25 seconds may not provide adequate time for effective suctioning in clients with COPD and artificial airways.
Question 3 of 5
A healthcare professional is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the healthcare professional expect?
Correct Answer: A
Rationale: The correct answer is A: Widened QRS complexes. Respiratory acidosis results from inadequate removal of carbon dioxide, leading to increased carbonic acid in the blood and a decrease in blood pH. This acidosis can cause electrolyte imbalances, including hyperkalemia, which can manifest as widened QRS complexes on an ECG due to the effect of high potassium levels on cardiac conduction. Hyperactive deep tendon reflexes (B) are associated with conditions such as hyperthyroidism or hypocalcemia. Bounding peripheral pulses (C) are seen in conditions like aortic regurgitation or hyperthyroidism. Warm, flushed skin (D) is more indicative of conditions like hyperthermia or sepsis.
Question 4 of 5
The nursing care plan for the client with dehydration includes interventions for oral health. Which interventions are within the scope of practice for the LPN/LVN being supervised by the nurse? (Choose all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The experienced LPN/LVN reports that a client's blood pressure and heart rate have decreased and that when the face is assessed, one side twitches. What action should you take at this time?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.